Provider Type Icon

DIGESTIVE DISEASE ASSOCIATES LLC NPI 1407400955


NPI Information

NPI: 1407400955
Provider Name: DIGESTIVE DISEASE ASSOCIATES, LLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 21D0977652

Address:
700 GEIPE ROAD STE 230
BALTIMORE, MD
ZIP 21228
Phone: (410) 247-7500
Get Directions

DIGESTIVE DISEASE ASSOCIATES, LLC is a gastroenterology internal medicine in Baltimore, MD. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DIGESTIVE DISEASE ASSOCIATES, LLC NPI is 1407400955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

700 GEIPE ROAD STE 230
BALTIMORE, MD
ZIP 21228-176
Phone: (410) 247-7500
Fax: (410) 247-4227

The provider's authorized official is Eugenio J Hernandez .
The authorized official title is Owner and has the following contact phone number (305) 596-9966.

The CLIA number assigned to this NPI record is 21D0977652 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 3/30/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207RT0003XInternal MedicineTransplant HepatologyNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNo
4207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.